Individual
DR. SHAHID SHAMIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11119 ROCKVILLE PIKE, SUITE 100, ROCKVILLE, MD 20852-3143
(301) 452-2116
(240) 454-3980
Mailing address
PO BOX 10247, GAITHERSBURG, MD 20898-0247
(301) 452-2116
(240) 454-3980
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D-59284
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015238C82
MEDICARE
MD
05
—
400656900
—
MD
Enumeration date
09/21/2006
Last updated
02/11/2015
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